Effective - 28 Aug 2015
376.670. Provisions which shall be contained in life insurance policies, exceptions. — 1. As used in this section, operative date of the valuation manual shall have the same meaning as set forth in section 376.365.
2. In the case of policies issued on or after the operative date of this section, as defined in subsection 20 of this section, no policy of life insurance, except as stated in subsection 19 of this section, shall be delivered or issued for delivery in this state unless it shall contain in substance the following provisions, or corresponding provisions which in the opinion of the director of the department of commerce and insurance are at least as favorable to the defaulting or surrendering policyholder as are the minimum requirements specified in this section and are essentially in compliance with subsection 18 of this section:
(1) That, in the event of default in any premium payment, the company will grant, upon proper request not later than sixty days after the due date of the premium in default, a paid-up nonforfeiture benefit on a plan stipulated in the policy, effective as of such due date, of such amount as may be herein specified. In lieu of such stipulated paid-up nonforfeiture benefit, the company may substitute, upon proper request not later than sixty days after the due date of the premium in default, an actuarially equivalent alternative paid-up nonforfeiture benefit which provides a greater amount or longer period of death benefits or, if applicable, a greater amount or earlier payment of endowment benefits;
(2) That, upon surrender of the policy within sixty days after the due date of any premium payment in default after premiums have been paid for at least three full years in the case of ordinary insurance or five full years in the case of industrial insurance, the company will pay, in lieu of any paid-up nonforfeiture benefit, a cash surrender value of such amount as may be herein specified;
(3) That a specified paid-up nonforfeiture benefit shall become effective as specified in the policy unless the person entitled to make such election elects another available option not later than sixty days after the due date of the premium in default;
(4) That, if the policy shall have become paid up by completion of all premium payments or if it is continued under any paid-up nonforfeiture benefit which became effective on or after the third policy anniversary in the case of ordinary insurance or the fifth policy anniversary in the case of industrial insurance, the company will pay, upon surrender of the policy within thirty days after any policy anniversary, a cash surrender value of such amount as may be herein specified;
(5) In the case of policies which cause, on a basis guaranteed in the policy, unscheduled changes in benefits or premiums, or which provide an option for changes in benefits or premiums other than a change to a new policy, a statement of the mortality table, interest rate, and method used in calculating cash surrender values and the paid-up nonforfeiture benefits available under the policy. In the case of all other policies, a statement of the mortality table and interest rate used in calculating the cash surrender values and the paid-up nonforfeiture benefits available under the policy, together with a table showing the cash surrender value, if any, and paid-up nonforfeiture benefit, if any, available under the policy on each policy anniversary either during the first twenty policy years or during the term of the policy, whichever is shorter, such values and benefits to be calculated upon the assumption that there are no dividends or paid-up additions credited to the policy and that there is no indebtedness to the company on the policy;
(6) A statement that the cash surrender values and the paid-up nonforfeiture benefits available under the policy are not less than the minimum values and benefits required by or pursuant to the insurance law of the state in which the policy is delivered; an explanation of the manner in which the cash surrender values and the paid-up nonforfeiture benefits are altered by the existence of any paid-up additions credited to the policy or any indebtedness to the company on the policy; if a detailed statement of the method of computation of the values and benefits shown in the policy is not stated therein, a statement that such method of computation has been filed with the insurance supervisory official of the state in which the policy is delivered; and a statement of the method to be used in calculating the cash surrender value and paid-up nonforfeiture benefit available under the policy on any policy anniversary beyond the last anniversary for which such values and benefits are consecutively shown in the policy.
3. Any of the foregoing provisions or portions thereof not applicable by reason of the plan of insurance may, to the extent inapplicable, be omitted from the policy.
4. The company shall reserve the right to defer the payment of any cash surrender value for a period of six months after demand therefor with surrender of the policy.
5. (1) Any cash surrender value available under the policy in the event of default in a premium payment due on any policy anniversary, whether or not required by subsection 2 of this section, shall be an amount not less than the excess, if any, of the present value, on such anniversary, of the future guaranteed benefits which would have been provided for by the policy if there had been no default, including any existing paid-up additions, over the sum of the then present value of the adjusted premiums as defined in subsections 7, 8, 9, 10, 11, 12, 13, and 14 of this section corresponding to premiums which would have fallen due on and after such anniversary, and the amount of any indebtedness to the company on the policy.
(2) For any policy issued on or after the operative date of subsection 14 of this section which provides supplemental life insurance or annuity benefits at the option of the insured for an identifiable additional premium by rider or supplemental policy provision, the cash surrender value referred to in subdivision (1) of this subsection shall be an amount not less than the sum of the cash surrender value for an otherwise similar policy issued at the same age without such rider or supplemental policy provision and the cash surrender value for a policy which provides only the benefits otherwise provided by such rider or supplemental policy provision.
(3) For any family policy issued on or after the operative date of subsection 14 of this section which defines a primary insured and provides term insurance on the life of the spouse of the primary insured expiring before the spouse's age seventy-one, the cash surrender value referred to in subdivision (1) of this subsection shall be an amount not less than the sum of the cash surrender value for an otherwise similar policy issued at the same age without such term insurance on the life of the spouse and the cash surrender value for a policy which provides only the benefits otherwise provided by such term insurance on the life of the spouse.
(4) Any cash surrender value available within thirty days after any policy anniversary under any policy paid up by completion of all premium payments or any policy continued under any paid-up nonforfeiture benefit, whether or not required by subsection 2 of this section, shall be an amount not less than the present value, on such anniversary, of the future guaranteed benefits provided for the policy, including any existing paid-up additions, decreased by any indebtedness to the company on the policy.
6. Any paid-up nonforfeiture benefit available under the policy in the event of default in a premium payment due on any policy anniversary shall be such that its present value as of such anniversary shall be at least equal to the cash surrender value then provided for by the policy or, if none is provided for, that cash surrender value which would have been required by this section in the absence of the condition that premiums shall have been paid for at least a specified period.
7. This subsection and subsections 8, 9, 10, and 11 of this section shall not apply to policies issued on or after the operative date of subsection 14 of this section. Except as provided in subsection 10 of this section, the adjusted premiums for any policy shall be calculated on an annual basis and shall be such uniform percentage of the respective premiums specified in the policy for each policy year, excluding any extra premiums charged because of impairments or special hazards, that the present value, at the date of issue of the policy, of all such adjusted premiums shall be equal to the sum of:
(1) The then present value of the future guaranteed benefits provided for by the policy;
(2) Two percent of the amount of insurance, if the insurance be uniform in amount, or of the equivalent uniform amount, as herein defined, if the amount of insurance varies with duration of the policy;
(3) Forty percent of the adjusted premium for the first policy year;
(4) Twenty-five percent of either the adjusted premiums for the first policy year or the adjusted premium for a whole life policy of the same uniform or equivalent uniform amount with uniform premiums for the whole of life issued at the same age for the same amount of insurance, whichever is less.
8. Provided, however, that in applying the percentages specified in subdivisions (3) and (4) of subsection 7 of this section, no adjusted premium shall be deemed to exceed four percent of the amount of insurance or uniform amount equivalent thereto. The date of issue of a policy for the purpose of subsections 7, 8, 9, 10, and 11 of this section shall be the date as of which the rated age of the insured is determined.
9. In the case of a policy providing an amount of insurance varying with duration of the policy, the equivalent uniform amount thereof for the purpose of subsections 7, 8, 9, 10, and 11 of this section shall be deemed to be the uniform amount of insurance provided by an otherwise similar policy, containing the same endowment benefit or benefits, if any, issued at the same age and for the same term, the amount of which does not vary with duration and the benefits under which have the same present value at the date of issue as the benefits under the policy; provided, however, that in the case of a policy providing a varying amount of insurance issued on the life of a child under age ten, the equivalent uniform amount may be computed as though the amount of insurance provided by the policy prior to the attainment of age ten were the amount provided by such policy at age ten.
10. The adjusted premiums for any policy providing term insurance benefits by rider or supplemental policy provision shall be equal to (a) the adjusted premiums for an otherwise similar policy issued at the same age without such term insurance benefits, increased, during the period for which premiums for such term insurance benefits are payable, by (b) the adjusted premiums for such term insurance, the foregoing items (a) and (b) being calculated separately and as specified in subsections 7, 8, and 9 of this section except that, for the purposes of subdivisions (2), (3) and (4) of subsection 7 of this section, the amount of insurance or equivalent uniform amount of insurance used in the calculation of the adjusted premiums referred to in (b) shall be equal to the excess of the corresponding amount determined for the entire policy over the amount used in the calculation of the adjusted premiums in (a).
11. Except as otherwise provided in subsections 12 and 13 of this section, all adjusted premiums and present values referred to in this section shall, for all policies of ordinary insurance, be calculated on the basis of the Commissioners 1941 Standard Ordinary Mortality Table, provided that for any category of ordinary insurance issued on and after the effective date of this amendment on female risks, adjusted premiums and present values may be calculated according to an age not more than three years younger than the actual age of the insured and such calculations for all policies of industrial insurance shall be made on the basis of the 1941 Standard Industrial Mortality Table. All calculations shall be made on the basis of the rate of interest, not exceeding three and one-half percent per annum, specified in the policy for calculating cash surrender values and paid-up nonforfeiture benefits; provided, however, that in calculating the present value of any paid-up term insurance with accompanying pure endowment, if any, offered as a nonforfeiture benefit, the rates of mortality assumed may be not more than one hundred * thirty percent of the rates of mortality according to such applicable table; provided, further, that for insurance issued on a substandard basis, the calculation of any such adjusted premiums and present values may be based on such other table of mortality as may be specified by the company and approved by the director.
12. This subsection shall not apply to ordinary policies issued on or after the operative date of subsection 14 of this section. In the case of ordinary policies issued on or after the operative date provided in this subsection, all adjusted premiums and present values referred to in this section shall be calculated on the basis of the Commissioners 1958 Standard Ordinary Mortality Table and the rate of interest specified in the policy for calculating cash surrender values and paid-up nonforfeiture benefits, provided that such rate of interest shall not exceed three and one-half percent per annum, except that a rate of interest not exceeding four percent per annum may be used for policies issued on or after September 28, 1975, and prior to September 28, 1979, and a rate of interest not exceeding five and one-half percent per annum may be used for policies issued on or after September 28, 1979, and provided that for any category of ordinary insurance issued on female risks, adjusted premiums and present values may be calculated according to an age not more than six years younger than the actual age of the insured; provided, however, that in calculating the present value of any paid-up term insurance with accompanying pure endowment, if any, offered as a nonforfeiture benefit, the rates of mortality assumed may be not more than those shown in the Commissioners 1958 Extended Term Insurance Table; provided, further, that for insurance issued on a substandard basis, the calculation of any such adjusted premiums and present values may be based on such other table of mortality as may be specified by the company and approved by the director. After the date when this subsection becomes effective, any company may file with the director a written notice of its election to comply with the provisions of this subsection after a specified date before January 1, 1966. After the filing of such notice, then upon such specified date, which shall be the operative date of this subsection for such company, this subsection shall become operative with respect to the ordinary policies thereafter issued by such company. If a company makes no such election, the operative date of this subsection for such company shall be January 1, 1966.
13. This subsection shall not apply to industrial policies issued on or after the operative date of subsection 14 of this section. In the case of industrial policies issued on or after the operative date of this subsection as defined herein, all adjusted premiums and present values referred to in this section shall be calculated on the basis of the Commissioners 1961 Standard Industrial Mortality Table and the rate of interest specified in the policy for calculating cash surrender values and paid-up nonforfeiture benefits, provided that such rate of interest shall not exceed three and one-half percent per annum, except that a rate of interest not exceeding four percent per annum may be used for policies issued on or after September 28, 1975, and prior to September 28, 1979, and a rate of interest not exceeding five and one-half percent per annum may be used for policies issued on or after September 28, 1979; provided, however, that in calculating the present value of any paid-up term insurance with accompanying pure endowment, if any, offered as a nonforfeiture benefit, the rates of mortality assumed may be not more than those shown in the Commissioners 1961 Industrial Extended Term Insurance Table; provided, further, that for insurance issued on a substandard basis, the calculation of any such adjusted premiums and present values may be based on such other table of mortality as may be specified by the company and approved by the director. After the date when this subsection becomes effective, any company may file with the director a written notice of its election to comply with the provisions of this subsection after a specified date before January 1, 1968. After the filing of such notice, then upon such specified date, which shall be the operative date of this subsection for such company, this subsection shall become operative with respect to the industrial policies thereafter issued by such company. If a company makes no such election, the operative date of this subsection for such company shall be January 1, 1968.
14. (1) This subsection shall apply to all policies issued on or after the operative date of this subsection as defined herein. Except as provided in subdivision (7) of this subsection, the adjusted premiums for any policy shall be calculated on an annual basis and shall be such uniform percentage of the respective premiums specified in the policy for each policy year, excluding amounts payable as extra premiums to cover impairments or special hazards and also excluding any uniform annual contract charge or policy fee specified in the policy in a statement of the method to be used in calculating the cash surrender values and paid-up nonforfeiture benefits, that the present value, at the date of issue of the policy, of all adjusted premiums shall be equal to the sum of:
(a) The then present value of the future guaranteed benefits provided for by the policy; provided, however, that the nonforfeiture interest rate shall not be less than four percent;
(b) One percent of either the amount of insurance, if the insurance be uniform in amount, or the average amount of insurance at the beginning of each of the first ten policy years; and
(c) One hundred twenty-five percent of the nonforfeiture net level premium as hereinafter defined. In applying the percentage specified in paragraph (c) above, no nonforfeiture net level premium shall be deemed to exceed four percent of either the amount of insurance, if the insurance be uniform in amount, or the average amount of insurance at the beginning of each of the first ten policy years. The date of issue of a policy for the purpose of this subsection shall be the date as of which the rated age of the insured is determined.
(2) The nonforfeiture net level premium shall be equal to the present value, at the date of issue of the policy, of the guaranteed benefits provided for by the policy divided by the present value, at the date of issue of the policy, of an annuity of one per annum payable on the date of issue of the policy and on each anniversary of such policy on which a premium falls due.
(3) In the case of policies which cause, on a basis guaranteed in the policy, unscheduled changes in benefits or premiums, or which provide an option for changes in benefits or premiums other than a change to a new policy, the adjusted premiums and present values shall initially be calculated on the assumption that future benefits and premiums do not change from those stipulated at the date of issue of the policy. At the time of any such change in the benefits or premiums the future adjusted premiums, nonforfeiture net level premiums and present values shall be recalculated on the assumption that future benefits and premiums do not change from those stipulated by the policy immediately after the change.
(4) Except as otherwise provided in subdivision (7) of this subsection, the recalculated future adjusted premiums for any such policy shall be such uniform percentage of the respective future premiums specified in the policy for each policy year, excluding amounts payable as extra premiums to cover impairments and special hazards, and also excluding any uniform annual contract charge or policy fee specified in the policy in a statement of the method to be used in calculating the cash surrender values and paid-up nonforfeiture benefits, that the present value, at the time of change to the newly defined benefits or premiums, of all such future adjusted premiums shall be equal to the excess of (a) the sum of the then present value of the then future guaranteed benefits provided for by the policy and the additional expense allowance, if any, over (b) the then cash surrender value, if any, or present value of any paid-up nonforfeiture benefit under the policy.
(5) The additional expense allowance, at the time of the change to the newly defined benefits or premiums, shall be the sum of:
(a) One percent of the excess, if positive, of the average amount of insurance at the beginning of each of the first ten policy years subsequent to the change over the average amount of insurance prior to the change at the beginning of each of the first ten policy years subsequent to the time of the most recent previous change, or, if there has been no previous change, the date of issue of the policy; and
(b) One hundred twenty-five percent of the increase, if positive, in the nonforfeiture net level premium.
(6) The recalculated nonforfeiture net level premium shall be equal to the result obtained by dividing (a) by (b) where:
(a) Equals the sum of:
a. The nonforfeiture net level premium applicable prior to the change times the present value of an annuity of one per annum payable on each anniversary of the policy on or subsequent to the date of the change on which a premium would have fallen due had the change not occurred; and
b. The present value of the increase in future guaranteed benefits provided for by the policy; and
(b) Equals the present value of an annuity of one per annum payable on each anniversary of the policy on or subsequent to the date of change on which a premium falls due.
(7) Notwithstanding any other provisions of this subsection to the contrary, in the case of a policy issued on a substandard basis which provides reduced graded amounts of insurance so that in each policy year such policy has the same tabular mortality cost as an otherwise similar policy issued on the standard basis which provides higher uniform amounts of insurance, adjusted premiums and present values for such substandard policy may be calculated as if it were issued to provide such higher uniform amounts of insurance on the standard basis.
(8) All adjusted premiums and present values referred to in this section shall for all policies of ordinary insurance be calculated on the basis of the Commissioners 1980 Standard Ordinary Mortality Table or, at the election of the company for any one or more specified plans of life insurance, the Commissioners 1980 Standard Ordinary Mortality Table with Ten-Year Select Mortality Factors. All adjusted premiums and present values referred to in this section shall for all policies of industrial insurance be calculated on the basis of the Commissioners 1961 Standard Industrial Mortality Table. All adjusted premiums and present values referred to in this section shall for all policies issued in a particular calendar year be calculated on the basis of a rate of interest not exceeding the nonforfeiture interest rate as defined in this subsection for policies issued in that calendar year.
(9) Except as provided in subdivision (8) of this subsection:
(a) At the option of the company, calculations for all policies issued in a particular calendar year may be made on the basis of a rate of interest not exceeding the nonforfeiture interest rate, as defined in this subsection, for policies issued in the immediately preceding calendar year;
(b) Under any paid-up nonforfeiture benefit, including any paid-up dividend additions, any cash surrender value available, whether or not required by subsection 2 of this section, shall be calculated on the basis of the mortality table and rate of interest used in determining the amount of such paid-up nonforfeiture benefit and paid-up dividend additions, if any;
(c) A company may calculate the amount of any guaranteed paid-up nonforfeiture benefit including any paid-up additions under the policy on the basis of an interest rate no lower than that specified in the policy for calculating cash surrender values;
(d) In calculating the present value of any paid-up term insurance with accompanying pure endowment, if any, offered as a nonforfeiture benefit, the rates of mortality assumed may be not more than those shown in the Commissioners 1980 Extended Term Insurance Table for policies of ordinary insurance and not more than the Commissioners 1961 Industrial Extended Term Insurance Table for policies of industrial insurance;
(e) For insurance issued on a substandard basis, the calculation of any such adjusted premiums and present values may be based on appropriate modifications of the tables listed in paragraph (d) of this subdivision;
(f) For policies issued prior to the operative date of the valuation manual, any ordinary mortality tables, adopted after 1980 by the NAIC, that are approved by regulation promulgated by the director for use in determining the minimum nonforfeiture standard may be substituted for the Commissioners 1980 Standard Ordinary Mortality Table with or without Ten-Year Select Mortality Factors or for the Commissioners 1980 Extended Term Insurance Table;
(g) For policies issued on or after the operative date of the valuation manual, the valuation manual shall provide the mortality table for use in determining the minimum nonforfeiture standard that may be substituted for the Commissioners 1980 Standard Ordinary Mortality Table with or without Ten-Year Select Mortality Factors or for the Commissioners 1980 Extended Term Insurance Table. If the director approves by regulation any ordinary mortality table adopted by the NAIC for use in determining the minimum nonforfeiture standard for policies issued on or after the operative date of the valuation manual, such minimum nonforfeiture standard supersedes the minimum nonforfeiture standard provided by the valuation manual;
(h) For policies issued prior to the operative date of the valuation manual, any industrial mortality tables, adopted after 1980 by the NAIC, that are approved by regulation promulgated by the director for use in determining the minimum nonforfeiture standard may be substituted for the Commissioners 1961 Standard Industrial Mortality Table or for the Commissioners 1961 Industrial Extended Term Insurance Table;
(i) For policies issued on or after the operative date of the valuation manual, the valuation manual shall provide the mortality table for use in determining the minimum nonforfeiture standard that may be substituted for the Commissioners 1961 Standard Industrial Mortality Table or the Commissioners 1961 Industrial Extended Term Insurance Table. If the director approves by regulation any industrial mortality table adopted by the NAIC for use in determining the minimum nonforfeiture standard for policies issued on or after the operative date of the valuation manual, such minimum nonforfeiture standard supersedes the minimum nonforfeiture standard provided by the valuation manual.
(10) The nonforfeiture interest rate is defined as follows:
(a) For policies issued prior to the operative date of the valuation manual, the nonforfeiture rate per annum for any policy issued in a particular calendar year shall be equal to one hundred twenty-five percent of the calendar year statutory valuation interest rate for such policy as defined in section 376.380 rounded to the nearer one-quarter of one percent;
(b) For policies issued on or after the operative date of the valuation manual, the nonforfeiture interest rate per annum for any policy issued in a particular calendar year shall be provided by the valuation manual.
(11) Notwithstanding any other provision of law to the contrary, any refiling of nonforfeiture values or their methods of computation for any previously approved policy form which involves only a change in the interest rate or mortality table used to compute nonforfeiture values shall not require refiling of any other provisions of that policy form.
(12) After the effective date of this subsection, any company may file with the director a written notice of its election to comply with the provisions of this subsection after a specified date before January 1, 1989, which shall be the operative date of this subsection for such company. If a company makes no such election, the operative date of this subsection for such company shall be January 1, 1989.
15. In the case of any plan of life insurance which provides for future premium determination, the amounts of which are to be determined by the insurance company based on then estimates of future experience, or in the case of any plan of life insurance which is of such a nature that minimum values cannot be determined by the methods described in subsections 1 to 14 of this section, then:
(1) The director must be satisfied that the benefits provided under the plan are substantially as favorable to policyholders and insureds as the minimum benefits otherwise required by subsections 1 to 14 of this section;
(2) The director must be satisfied that the benefits and the pattern of premiums of that plan are not such as to mislead prospective policyholders or insureds;
(3) The cash surrender values and paid-up nonforfeiture benefits provided by the plan must not be less than the minimum values and benefits required for the plan computed by a method consistent with the principles of this section, as determined by regulations promulgated by the director.
16. Any cash surrender value and any paid-up nonforfeiture benefit, available under the policy in the event of default in a premium payment due at any time other than on the policy anniversary, shall be calculated with allowance for the lapse of time and the payment of fractional premiums beyond the last preceding policy anniversary. All values referred to in subsections 5, 6, 7, 8, 9, 10, 11, 12, 13, and 14 of this section may be calculated upon the assumption that any death benefit is payable at the end of the policy year of death. The net value of any paid-up additions, other than paid-up term additions, shall be not less than the amounts used to provide such additions.
17. Notwithstanding the provisions of subsection 5 of this section, additional benefits payable:
(1) In the event of death or dismemberment by accident or accidental means;
(2) In the event of total and permanent disability;
(3) As reversionary annuity or deferred reversionary annuity benefits;
(4) As term insurance benefits provided by a rider or supplemental policy provision to which, if issued as a separate policy, this section would not apply;
(5) As term insurance on the life of a child or on the lives of children provided in a policy on the life of a parent of the child, if such term insurance expires before the child's age is twenty-six, is uniform in amount after the child's age is one, and has not become paid up by reason of the death of a parent of the child; and
(6) As other policy benefits additional to life insurance and endowment benefits, and premiums for all such additional benefits; shall be disregarded in ascertaining cash surrender values and nonforfeiture benefits required by this section, and no such additional benefits shall be required to be included in any paid-up nonforfeiture benefits.
18. (1) This subsection, in addition to all other applicable subsections of this section, shall apply to all policies issued on or after January 1, 1986. Any cash surrender value available under the policy in the event of default in a premium payment due on any policy anniversary shall be in an amount which does not differ by more than two-tenths of one percent of either the amount of insurance, if the insurance be uniform in amount, or the average amount of insurance at the beginning of each of the first ten policy years, from the sum of the greater of zero and the basic cash value hereinafter specified and the present value of any existing paid-up additions less the amount of any indebtedness to the company under the policy.
(2) The basic cash value shall be equal to the present value, on such anniversary, of the future guaranteed benefits which would have been provided for by the policy, excluding any existing paid-up additions and before deduction of any indebtedness to the company, if there had been no default, less the then present value of the nonforfeiture factors, as defined in subdivision (3) of this subsection, corresponding to premiums which would have fallen due on and after such anniversary. The effects on the basic cash value of supplemental life insurance or annuity benefits or of family coverage, as described in subsection 5 of this section or in subsections 7, 8, 9, 10, and 11 of this section, whichever is applicable, shall be the same as are the effects specified in subsection 5 of this section or in subsections 7, 8, 9, 10, and 11 of this section, whichever is applicable on the cash surrender values defined in that subsection.
(3) The nonforfeiture factor for each policy year shall be an amount equal to a percentage of the adjusted premium for the policy year, as defined in subsections 7, 8, 9, 10, and 11 of this section or in subsection 14 of this section, whichever is applicable. Except as is required by subdivision (4) of this subsection, such percentage:
(a) Must be the same percentage for each policy year between the second policy anniversary and the later of the fifth policy anniversary or the first policy anniversary at which there is available under the policy a cash surrender value in an amount, before including any paid-up additions and before deducting any indebtedness, of at least two-tenths of one percent of either the amount of insurance, if the insurance be uniform in amount, or the average amount of insurance at the beginning of each of the first ten policy years; and
(b) Must be such that no percentage after the later of the two policy anniversaries specified in paragraph (a) of this subdivision may apply to fewer than five consecutive policy years. No basic cash value may be less than the value which would be obtained if the adjusted premiums for the policy, as defined in subsections 7, 8, 9, 10, and 11 of this section or in subsection 14 of this section, whichever is applicable, were substituted for the nonforfeiture factors in the calculation of the basic cash value.
(4) All adjusted premiums and present values referred to in this subsection shall for a particular policy be calculated on the same mortality and interest bases as are used in demonstrating the policy's compliance with the other subsections of this section. The cash surrender values referred to in this subsection shall include any endowment benefits provided for by the policy.
(5) Any cash surrender value available other than in the event of default in a premium payment due on a policy anniversary, and the amount of any paid-up nonforfeiture benefit available under the policy in the event of default in a premium payment shall be determined in manners consistent with the manners specified for determining the analogous minimum amounts in subsections 4, 5, 6, 14, and 16 of this section. The amounts of any cash surrender values and of any paid-up nonforfeiture benefits granted in connection with additional benefits such as those listed as subdivisions (1) to (6) in subsection 17 shall conform with the principles of this subsection.
19. (1) This section shall not apply to any of the following:
(a) Reinsurance;
(b) Group insurance;
(c) Pure endowments;
(d) Annuities or reversionary annuity contracts;
(e) Term policies of uniform amounts, which provide no guaranteed nonforfeiture or endowment benefits, or renewals thereof of twenty years or less expiring before age seventy-one, for which uniform premiums are payable during the entire term of the policy;
(f) Term policies of decreasing amounts, which provide no guaranteed nonforfeiture or endowment benefits, on which each adjusted premium calculated as specified in subsections 7, 8, 9, 10, 11, 12, 13, and 14 of this section is less than the adjusted premium so calculated on a term policy of uniform amount, or renewal thereof, which provides no guaranteed nonforfeiture or endowment benefits, issued at the same age and for the same initial amount of insurance, and for a term of twenty years or less expiring before age seventy-one, for which uniform premiums are payable during the entire term of the policy;
(g) Policies, which provide no guaranteed nonforfeiture or endowment benefits, for which no cash surrender value, if any, or present value of any paid-up nonforfeiture benefit, at the beginning of any policy year, calculated as specified in subsections 5 to 14 of this section, exceeds two and one-half percent of the amount of insurance at the beginning of the same policy year;
(h) Policies which shall be delivered outside this state through an agent or other representative of the company issuing the policies.
(2) For purposes of determining the applicability of this section, the expiration date for a joint term life insurance policy shall be the age at expiry of the oldest life.
20. After the effective date of this section, any company may file with the director a written notice of its election to comply with the provisions of this section after a specified date before January 1, 1948. After the filing of such notice, then upon such specified date, which shall be the operative date for such company, this section shall become operative with respect to the policies thereafter issued by such company. If a company makes no such election, the operative date of this section for such company shall be January 1, 1948.
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(L. 1943 p. 596 § 5855A, A.L. 1959 H.B. 267, A.L. 1961 p. 181, A.L. 1965 p. 581, A.L. 1975 S.B. 116, A.L. 1979 S.B. 325, A.L. 1982 S.B. 469, A.L. 2015 S.B. 164)
*Word "and" appears here in original rolls.
Structure Missouri Revised Statutes
Title XXIV - Business and Financial Institutions
Chapter 376 - Life, Health and Accident Insurance
Section 376.005 - Definitions.
Section 376.010 - Who may form company — purposes.
Section 376.020 - Various companies defined.
Section 376.050 - Declaration of corporators.
Section 376.060 - Stock companies — content of charter.
Section 376.070 - To be submitted to attorney general.
Section 376.080 - Director to examine, when.
Section 376.090 - To furnish certificate of deposit, when.
Section 376.100 - Mutual companies — contents of charter.
Section 376.110 - To be submitted to attorney general.
Section 376.120 - Director to examine and certify, when.
Section 376.130 - To furnish certificate of deposit, when.
Section 376.145 - Officers of stock company to continue as officers of mutual.
Section 376.147 - Meetings of board of mutual, notice — executive committee of board, powers.
Section 376.150 - Stock and mutual companies — content of charter.
Section 376.160 - Formation of stock and mutual companies.
Section 376.170 - Special deposits for registered policies and annuity bonds.
Section 376.190 - Additional deposits required.
Section 376.200 - Definition of net value.
Section 376.210 - Excess deposits.
Section 376.220 - May use realty to secure notes and bonds.
Section 376.230 - Changing of securities on deposit.
Section 376.240 - Deposits to be held in trust by director.
Section 376.250 - Deposits to be kept separate.
Section 376.260 - Fees collected by director of revenue.
Section 376.270 - Director may proceed against depositary companies.
Section 376.280 - Capital necessary to do business — how invested.
Section 376.290 - Deposit and transfer of securities.
Section 376.291 - Applicability and inapplicability.
Section 376.292 - Definitions.
Section 376.293 - Permissible investments — written plan for investments required.
Section 376.294 - Prohibited acts.
Section 376.295 - Additional prohibited acts — authorized actions.
Section 376.296 - Value of investments, how calculated.
Section 376.297 - Investment subsidiaries not permitted, when.
Section 376.298 - Acquisition of rate credit instruments, when.
Section 376.300 - Equity interests permitted, when.
Section 376.301 - Tangible personal property interests permitted, when.
Section 376.302 - Mortgage interests, may be acquired, when — other real estate interests.
Section 376.303 - Lending and repurchase, permitted when.
Section 376.304 - Acquisition of foreign investments, when.
Section 376.305 - Rulemaking authority.
Section 376.306 - Cash surrender value, life insurer may lend to policyholder, when.
Section 376.307 - Limits on acquisition of certain investments.
Section 376.308 - Secondary mortgage market act, not to preempt health insurer, when.
Section 376.310 - Investment of surplus and reserve funds by foreign companies.
Section 376.325 - Any willing provider provision — definitions.
Section 376.330 - Securities may be changed.
Section 376.350 - Reports to director.
Section 376.360 - Distribution of surplus funds to participating policyholders — method.
Section 376.365 - Standard valuation law — definitions.
Section 376.370 - Director to value reserves, methods.
Section 376.379 - Medication synchronization services, offer of coverage required.
Section 376.381 - Health insurance products, department duties.
Section 376.386 - Prescription drugs, one co-payment for dosage prescribed.
Section 376.387 - Pharmacy benefits manager, limitations and restrictions — enforcement.
Section 376.390 - Reserve liability for group insurance — how computed.
Section 376.391 - Co-payments for chiropractic services, cap.
Section 376.392 - Prescription drug formularies, enrollees to be notified of changes to, when.
Section 376.393 - Pharmacy benefits manager, license required — definitions — complaints, procedure.
Section 376.395 - Definitions for group health conversion policy requirements.
Section 376.398 - Application to all group policies — effective, when.
Section 376.401 - Conversion rights — retirees — dependents of insured.
Section 376.404 - Specific requirement requests of policyholder may be met by alteration.
Section 376.407 - Advance practice nurse, claims for service to be reimbursed, when.
Section 376.410 - Insurance companies to maintain reserves — exemptions.
Section 376.421 - Group health insurance, authorized categories.
Section 376.425 - Student accident policies, may not limit surgical benefits, when.
Section 376.426 - Group health policies, required provisions.
Section 376.428 - Federal COBRA provisions to apply to group health insurance policies.
Section 376.432 - Group-type basis, defined.
Section 376.434 - Carrier liable for claims incurred during grace period, when — exceptions.
Section 376.435 - Claim information to be reported, when — covered lives defined.
Section 376.442 - Rules and regulations, procedure.
Section 376.450 - Citation of law — definitions (Missouri HIPAA).
Section 376.451 - Standards prohibiting discrimination.
Section 376.453 - Premium — only cafeteria plans required, when.
Section 376.480 - Domestic companies may assume risks of foreign companies — duties of director.
Section 376.500 - Discriminations, rebates and favors prohibited — contracts to conform to policy.
Section 376.510 - Penalty for violation of section 376.500.
Section 376.540 - Policy, to whom payable.
Section 376.570 - Foreign executor or administrator.
Section 376.580 - Misrepresentation.
Section 376.600 - Penalty for violating section 376.590.
Section 376.610 - Defense in case of suits.
Section 376.620 - Suicide, effect on liability — refund of premiums, when.
Section 376.630 - Life insurance policies not to be forfeited or become invalid, when.
Section 376.640 - Paid-up policy may be demanded, when.
Section 376.650 - Rules of payment on commuted policy.
Section 376.660 - Foregoing provisions inapplicable, when.
Section 376.670 - Provisions which shall be contained in life insurance policies, exceptions.
Section 376.671 - Provisions which shall be contained in annuity contracts — inapplicability date.
Section 376.673 - Life insurance policies, regulations relative to.
Section 376.674 - Life insurance policies, no cash surrender value, regulations relative to.
Section 376.679 - Life insurance company may reinsure for risks involving aircraft, limitation.
Section 376.680 - Assignment of incidents of ownership, group life policy, effect of.
Section 376.691 - Group life policies, eligible groups authorized for issue — premiums, how paid.
Section 376.693 - Special group life policies, requirements — director's approval.
Section 376.697 - Required provisions for group life policies.
Section 376.700 - Purpose — use of additional material.
Section 376.702 - Application of law — exceptions.
Section 376.704 - Definitions.
Section 376.706 - Delivery of guide and summary required, when.
Section 376.708 - Required presentations and statements — company to maintain file.
Section 376.710 - Effect of omission.
Section 376.712 - Effective date.
Section 376.714 - Contents and form of buyer's guide.
Section 376.715 - Citation of law, purpose.
Section 376.718 - Definitions.
Section 376.720 - Association, created — accounts — director to supervise.
Section 376.722 - Board of directors, established, members, how selected — expense reimbursement.
Section 376.726 - Nonpayment of premiums, effect of.
Section 376.728 - Law not applicable, when.
Section 376.730 - Liens, association may impose, when.
Section 376.734 - Additional powers of association.
Section 376.735 - Assessments against members, when due, classes — amounts, how determined.
Section 376.738 - Certificate of contribution, when issued.
Section 376.740 - Plan of operation, required, approval of director — provisions of plan.
Section 376.742 - Director, powers and duties.
Section 376.743 - Board of directors, powers.
Section 376.745 - Assessments, offset against tax liability, when, how.
Section 376.747 - Distribution of member insurer assets upon liquidation, priority of association.
Section 376.748 - Liquidation, recovery of distributions, when, exceptions, limitations.
Section 376.752 - Member insurer's deposit with director, exemption from, amount.
Section 376.754 - Stay of proceedings, insolvent insurer, when.
Section 376.755 - Advertising, use of guaranty association prohibited.
Section 376.758 - Law inapplicable to insolvent insurers on effective date of law.
Section 376.770 - Title of law.
Section 376.773 - Definitions.
Section 376.775 - Matters required in policies.
Section 376.780 - Limits on provisions, effect of conflict of policy with law.
Section 376.783 - Insured bound only if copy of application attached to policy.
Section 376.785 - What does not constitute waiver of defenses.
Section 376.787 - Effect of age limit provision.
Section 376.789 - Definition of actual charge and actual fee.
Section 376.790 - Limits on applicability of law.
Section 376.791 - Portion of section 376.777 not applicable to individual health insurance coverage.
Section 376.810 - Definitions for policy requirements for chemical dependency.
Section 376.818 - Eligibility for Medicaid may not be considered by insurers.
Section 376.819 - MO HealthNet division to have right to payment for health care services provided.
Section 376.823 - Prohibition on kickbacks not applicable for rebates for certain chronic illnesses.
Section 376.850 - Law, how cited.
Section 376.854 - Definitions.
Section 376.859 - Medicare supplement law applicable to what policies — policies not included.
Section 376.869 - Standards for policies, minimum, director to adopt.
Section 376.874 - Requirements of policy, return to policyholders.
Section 376.882 - Cancellation of policy, refund required — notification.
Section 376.884 - Advertisement to be reviewed by director.
Section 376.886 - Regulations, requirements — rules, procedure.
Section 376.889 - Violations, penalty.
Section 376.890 - Invalidity of any section regulating Medicare supplement not to affect others.
Section 376.891 - Definitions.
Section 376.900 - Definitions.
Section 376.905 - Administration by department, powers, duties — fees.
Section 376.910 - Certificate of authority required.
Section 376.920 - Annual statement, form, contents.
Section 376.925 - Seven-day rescission period, all money or property to be refunded.
Section 376.930 - Insured to be furnished application for certificate and annual statement, when.
Section 376.940 - Escrow account for entrance fees required, released when.
Section 376.945 - Escrow account, amount required — principal, how released, investment.
Section 376.950 - Board of directors, one member to be resident of facility.
Section 376.960 - Definitions.
Section 376.965 - Board members not civilly liable for performance of duties, exception.
Section 376.982 - Rulemaking procedure.
Section 376.989 - No liability, criminal or civil, for participation in pool by members.
Section 376.1000 - Multiple employer self-insured health plan, defined.
Section 376.1007 - Plan to file copy of bylaws, coverage and agreements with director.
Section 376.1010 - Excess stop-loss coverage maintained by plan.
Section 376.1015 - Department not to grant approval, when.
Section 376.1017 - Plan to establish loss reserves — plan to establish surplus account, amount.
Section 376.1020 - Plan to maintain principal place of business in Missouri, exception.
Section 376.1025 - Director may adopt rules.
Section 376.1027 - Plan in unsound condition, powers of director.
Section 376.1032 - Plan considered insurer, when.
Section 376.1035 - Chapter 376 applicable to plan.
Section 376.1037 - Plan subject to premium taxes.
Section 376.1042 - Marketing by agent, agency or broker violation of law.
Section 376.1045 - Injunctive relief, director may seek, when — procedures.
Section 376.1065 - Official notification communications, contracting entity requirements.
Section 376.1075 - Definitions.
Section 376.1077 - Administrator to have agreement with insurer, form, contents — termination, how.
Section 376.1080 - Payments of premiums and claims deemed paid, when.
Section 376.1083 - Advertising restrictions for administrator.
Section 376.1090 - Materials delivered to administrator for insured to be promptly delivered.
Section 376.1093 - Annual report filed with director, when — contents — filing fee, amount.
Section 376.1094 - Certificate of authority, suspension or revocation, grounds — civil action, when.
Section 376.1095 - Rules and regulations, promulgation.
Section 376.1100 - Law, how cited — definitions.
Section 376.1115 - Coverage outline to be delivered to applicants, when, content.
Section 376.1121 - Denial of claim, long-term care insurance, duties of issuer.
Section 376.1130 - Rulemaking authority.
Section 376.1190 - Health care mandates — review by oversight division — actuarial analysis.
Section 376.1215 - Immunizations, mandated coverage, exceptions, rulemaking.
Section 376.1220 - Insurance coverage for newborn hearing screenings mandated.
Section 376.1226 - Fee schedule for services not covered under health benefit plans — definitions.
Section 376.1230 - Chiropractic care coverage, rates, terms, conditions, limits, and exclusions.
Section 376.1232 - Insurers to offer coverage for prosthetics.
Section 376.1237 - Refills for prescription eye drops, required, when — definitions.
Section 376.1250 - Cancer screening, health insurance coverage required, when, types.
Section 376.1290 - Coverage for lead testing.
Section 376.1300 - Reorganization of a domestic mutual life insurance company, authority.
Section 376.1305 - Formation of holding company, application — shareholder approval.
Section 376.1307 - Issuance of shares.
Section 376.1312 - Nonapplicability of certain provisions of insurance holding companies law.
Section 376.1315 - Incorporation of mutual holding company, authority, approval.
Section 376.1350 - Definitions.
Section 376.1353 - Utilization review activities monitored.
Section 376.1356 - Utilization review entity monitored, when.
Section 376.1359 - Written utilization program implemented, filed with the director.
Section 376.1363 - Utilization review decisions, procedures.
Section 376.1365 - Reconsideration of an adverse determination, when.
Section 376.1367 - Emergency services benefit determination, coverage required, when.
Section 376.1369 - Certification of compliance, when.
Section 376.1375 - Registry of grievances maintained, procedures — definitions.
Section 376.1378 - Grievances and certificate of compliance filed with the director, when.
Section 376.1385 - Second-level review procedures.
Section 376.1387 - Appeals of grievances determined by the director.
Section 376.1389 - Expedited grievance review procedure.
Section 376.1399 - Rules, effective, when — rules invalid and void, when.
Section 376.1400 - Explanation of benefits, standardized information used, contents, when.
Section 376.1403 - Referrals, standardized information used, content, when.
Section 376.1500 - Definitions.
Section 376.1502 - Requirements for transaction of business.
Section 376.1504 - Registration requirements — term of registration — renewal.
Section 376.1506 - Violations, penalty.
Section 376.1508 - Processing fee — cancellation of membership, effect of.
Section 376.1510 - Prohibited acts.
Section 376.1512 - Required disclosures.
Section 376.1514 - Written agreement required, contents.
Section 376.1518 - Net worth to be maintained, amount.
Section 376.1520 - Notice of changes.
Section 376.1522 - List of providers to be maintained on website.
Section 376.1524 - Advertising and marketing materials, approval in writing required.
Section 376.1528 - Rulemaking authority.
Section 376.1530 - Denial and refusal to issue registrations, when.
Section 376.1532 - Violations, penalties.
Section 376.1550 - Mental health coverage, requirements — definitions — exclusions.
Section 376.1575 - Definitions.
Section 376.1590 - Status as living organ donor not sole factor for insurance coverage.
Section 376.1900 - Definitions — reimbursement for telehealth services, when.
Section 376.2000 - Citation of law — definitions.
Section 376.2002 - Navigators, license required — permitted acts — prohibited acts — exemptions.
Section 376.2004 - Application procedure.
Section 376.2006 - Term of licensure — renewal — continuing education.
Section 376.2008 - Consultation with licensed insurance producer, navigator to advise, when.
Section 376.2011 - Violations, administrative orders, civil actions — penalty.
Section 376.2012 - Navigators duty to report, when.
Section 376.2014 - Applicability — severability — rulemaking authority.
Section 376.2020 - Contracts prohibiting disclosure of certain payments and costs are unenforceable.
Section 376.2030 - Definitions.
Section 376.2036 - Enforcement — applicability to health insurance plans, when.
Section 376.2050 - Citation of act.
Section 376.2051 - Definitions.
Section 376.2053 - Exemption from requirements, when.
Section 376.2080 - Funding agreement defined — authority to issue — rulemaking authority.